The Well-Being and Health Expression Evaluation List (WHEEL) serves as a framework for CCR research and development, providing chiropractic clinicians with easily deployable tools, resources, and assessments designed to magnify each patient’s well-being and health expression through individualized patient care.

Well-being and Health Expression Wheel... Healing – Measurement of the physical, psychological, and biological rate (speed of recovery) and fidelity (extent of restoration) of well-being and health recovery and repair following an injury, illness, or distressing event. Healthspan – Evaluation of an individual’s physical, psychological, and biological state of well-being and health in relation to their peers of the same age. Happiness – Assessment of the emotional, mental, and social well-being and health of the individual, subjectively assessing current state. Resilience – A measure of the capacity of an individual or system to respond and adapt to biopsychosocial stressors in a positive manner that is supportive of well-being and health. Reactivity – Evaluation of the dynamic alteration (magnitude and rate) of one's physical, psychological, and biological state in response to an event or stressor. Recovery – Assessment of the magnitude and rate of restoration of one's physical, psychological, and biological state following an event or stressor.

Physical – A reflection of one’s overall health including amount of physical movement, physical condition, ability to complete daily activities, nutrition, diet, experience of pain or disease in the body, and ability to sleep and feel rested.  

Social – A reflection of one’s relationships with others, love, availability to give and receive support, and feelings that are associated with connection to others (i.e., one’s family, friends, and community).  

Spiritual – Beliefs regarding forces and / or higher powers that provide a purpose or meaning in life, regardless of alignment with a certain religion. 

Emotional – The ability to acknowledge, manage, and express emotions and feelings lending to a positive outlook on life — related to experiencing both negative feelings (e.g., stress, anxiety, and depression) as well as positive feelings (e.g., joy, peacefulness, and comfort).  

Environment – The systems and resources within one’s life including the home environment, work environment, physical location, financial resources, and health and social care.  

Mental / Intellectual – The ability to think, make decisions, and stimulate the mental faculties; it includes thoughts associated with poor mental health (e.g., anxiety, hopelessness, and sadness). Occupational – Satisfaction with one’s work, including one’s perceived value of that work.  

Energy – The changes in energy patterns within human and environmental energy fields.  

Achievement – The ability to work toward and attain one’s goals, and thus achieve success in areas that are meaningful to oneself.  

Purpose – A reflection of one’s goals and the ability to achieve them; feeling that one’s actions and life are worthwhile and valuable; feeling that one’s life and purpose extends beyond oneself to something larger; viewing oneself as capable of growth. 

Engagement – A reflection of one’s ability to become involved, absorbed, and interested in activities and may include entering a ‘flow’ state of complete focus.